Individual
AMBERLIE STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 N MAIN ST, SPANISH FORK, UT 84660-1724
(801) 798-8611
Mailing address
159 N MAIN ST, SPANISH FORK, UT 84660-1724
(801) 798-8611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5648789-1701
UT
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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